Brent D A, Perper J A, Moritz G, Allman C, Schweers J, Roth C, Balach L, Canobbio R, Liotus L
Western Psychiatric Institute and Clinic, Pittsburgh, PA 15213.
J Am Acad Child Adolesc Psychiatry. 1993 May;32(3):509-17. doi: 10.1097/00004583-199305000-00004.
This study was designed to learn whether friends and acquaintances of suicide victims were at increased risk for depression, post-traumatic stress disorder, and suicidal behavior after exposure to suicide.
The social networks of 26 adolescent suicide victims, consisting of 146 adolescents, were interviewed 7 months after the death of the suicide victim and compared with 146 matched, unexposed controls.
The rates of these disorders that had onset after exposure were elevated in the exposed group vs. controls: major depression, post-traumatic stress disorder, suicidal ideation with a plan or an attempt, but not suicidal attempts. Almost all of those exposed youth who developed new-onset suicidality did so in the context of a new-onset depressive episode. The majority of these new-onset depressive disorders began within 1 month of exposure.
Postvention programs not only should focus on the prevention of imitation of suicidal behavior, but also should provide longer term follow-up for potentially bereaved and depressed youth exposed to suicide.
本研究旨在了解自杀受害者的朋友和熟人在接触自杀事件后是否有患抑郁症、创伤后应激障碍和自杀行为的风险增加。
对26名青少年自杀受害者的社交网络（共146名青少年）在自杀受害者死亡7个月后进行访谈，并与146名匹配的未接触对照组进行比较。
与对照组相比，接触后发病的这些疾病的发生率在暴露组中有所升高：重度抑郁症、创伤后应激障碍、有计划或有尝试的自杀意念，但不包括自杀未遂。几乎所有出现新发自杀倾向的暴露青年都是在新发抑郁发作的背景下出现的。这些新发抑郁症大多数在接触后1个月内开始。
事后干预项目不仅应侧重于预防自杀行为的模仿，还应为接触自杀事件的潜在丧亲及抑郁青年提供长期随访。
